What is the Statement of Health Status in Insurance?

The declaration of health status is only a questionnaire that is usually included in the insurance application and must be signed by the insured and by the policyholder in case the latter is a different person.

This statement serves, like the insurance application, as a basis for the future contract, since it contains elements of judgment that allow the insurer to evaluate the risk.

It is important to keep in mind that each insurer establishes, according to its own rules, if this health declaration is sufficient, or if in any case it is necessary to carry out a medical examination of the insured future.

That is to say, it will be the insurance entity itself that establishes at what age and from which capital to ensure the medical recognition of the insured future is necessary, as well as the depth of said explorations and analysis.

In any case, the medical examination is carried out by a doctor appointed by the insurer, who will issue a detailed report on the health status of the insurance candidate.

The declaration of health and, where appropriate, the result of the medical examination of the candidate, will be examined by the insurance company to decide whether the risk is normal or aggravated according to its own selection criteria.

If the risk is classified as aggravated, that is, not included in the forecasts made by the insurer, it can set the necessary conditions for the risk to be accepted. What are the most frequent conditions for the acceptance of aggravated risks? We review them!

Most frequent conditions for the acceptance of aggravated risks

Most frequent conditions for the acceptance of aggravated risks

  • Application of an overpriming.
  • Reduction in the duration of the insurance requested.
  • Reduction of the insured capital during the first years.
  • Establishment of a grace period.

Notes:

Super premium is an extra amount of money that the insured has to pay to the Insurance Company because there has been an increase in the risk that it covered.

Term deficiency is a period of time from the date of effect of the insurance, during which the insured can not benefit from all or part of the insurance guarantees contracted.

To consider

It is important not to lie when filling out the health questionnaire, because who does it can be accused of attempted fraud. In the event that there are diseases or pathologies prior to the signing of the policy, these are defined as pre-existing, and normally are not covered by health insurance. In the world of insurance are known as pre-existing, the pathologies of the client existing prior to the date of contracting the product.

Information contained in the health declaration

Information contained in the health declaration

Within this document, the company requests the following information:

  • Personal information: Name and surnames, marital status, date of birth and your ID.
  • Name of the company through which you have your current health insurance.
  • Affiliation or not to Social Security.
  • The employment performed by the applicant at the time of contract of the policy.
  • If the applicant owns some kind of disability pension.
  • If the applicant was insured with the company in question at a previous time.
  • The data of the beneficiaries of the policy (children, husband / wife…)
  • If the applicant has undergone some type of surgical intervention: the type of operation and the approximate date.
  • If any of the beneficiaries has suffered an illness or suffered an accident.

If you have been interested in this Post and want to keep getting involved in insurance, you may also be interested in our entry on What is considered to leave irrefutable evidence in insurance? How to change insurance company? or frequent questions about insurance.